Organization
WELLNITE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALANSKI (PRESIDENT)
(341) 888-7637
Entity
Organization
Contact information
Practice address
11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
(341) 888-7637
Mailing address
2261 MARKET ST # 4058, SAN FRANCISCO, CA 94114-1612
(341) 888-7637
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
10/13/2022
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